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1831349224 NPI number — MCI LAND CORPORATION

NPI Number: 1831349224
Health Care Provider/Practitioner: MCI LAND CORPORATION

Information about “1831349224” NPI (MCI LAND CORPORATION) exists in 1831349224 in HTML format HTML  |  1831349224 in plain Text format TXT  |  1831349224 in PDF (Portable Document Format) PDF  |  1831349224 in an XML format XML  formats.

NPI Number : 1831349224 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1831349224",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "Y",
    "ParentOrgLBN": "MCI LAND CORPORATION",
    "ParentOrgTIN": null,
    "OrgName": "MCI LAND CORPORATION",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": "6",
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "PO BOX 8418",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "HUMACAO",
    "MailingAddressStateName": "PR",
    "MailingAddressPostalCode": "00792-8418",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "787-852-7722",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "PR 924 KM 2.8",
    "SecondLinePracticeLocationAddress": "BO. COLLORES",
    "PracticeLocationAddressCityName": "HUMACAO",
    "PracticeLocationAddressStateName": "PR",
    "PracticeLocationAddressPostalCode": "00791",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "787-852-7722",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "09/23/2008",
    "LastUpdateDate": "09/23/2008",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "VELEZ",
    "AuthorizedOfficialFirstName": "IVAN",
    "AuthorizedOfficialMiddleName": "FRANCISCO",
    "AuthorizedOfficialTitle": "ADMINISTRATOR",
    "AuthorizedOfficialNamePrefix": "MR.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "MT, ASCP",
    "AuthorizedOfficialTelephoneNumber": "787-415-3232",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "291U00000X",
        "TaxonomyName": "Clinical Medical Laboratory",
        "LicenseNumber": "1165",
        "LicenseNumberStateCode": "PR",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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